Evidence map›Paper›PMID 26830412›Full record

ArticleInternational journal of clinical pharmacy2016

Information on actual medication use and drug-related problems in older patients: questionnaire or interview?

Floor Willeboordse, Lucienne H Grundeken, Lisanne P van den Eijkel, François G Schellevis, Petra J M Elders, Jacqueline G Hugtenburg

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Article in International journal of clinical pharmacy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Trial
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Floor WilleboordseDepartment of General Practice and Elderly Care Medicine, Institute for Health and Care Research, EMGO+, VU University Medical Center, Van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands. f.willeboordse@vumc.nl.
Lucienne H GrundekenDepartment of General Practice and Elderly Care Medicine, Institute for Health and Care Research, EMGO+, VU University Medical Center, Van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands.
Lisanne P van den EijkelDepartment of General Practice and Elderly Care Medicine, Institute for Health and Care Research, EMGO+, VU University Medical Center, Van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands.
François G SchellevisDepartment of General Practice and Elderly Care Medicine, Institute for Health and Care Research, EMGO+, VU University Medical Center, Van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands.
Petra J M EldersDepartment of General Practice and Elderly Care Medicine, Institute for Health and Care Research, EMGO+, VU University Medical Center, Van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands.
Jacqueline G HugtenburgDepartment of Clinical Pharmacology and Pharmacy, VU University Medical Center, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInformation on medication use and drug-related problems is important in the preparation of clinical medication reviews. Critical information can only be provided by patients themselves, but interviewing patients is time-consuming. Alternatively, patient information could be obtained with a questionnaire.

objectiveIn this study the agreement between patient information on medication use and drug-related problems in older patients obtained with a questionnaire was compared with information obtained during an interview.

settingGeneral practice in The Netherlands.

methodA questionnaire was developed to obtain information on actual medication use and drug-related problems. Two patient groups ≥65 years were selected based on general practitioner electronic medical records in nine practices; I. polypharmacy and II. ≥1 predefined general geriatric problems. Eligible patients were asked to complete the questionnaire and were interviewed afterwards.

main outcome measureAgreement on information on medication use and drug-related problems collected with the questionnaire and interview was calculated.

resultsNinety-seven patients participated. Of all medications used, 87.6 % (95 % CI 84.7-90.5) was reported identically in the questionnaire and interview. Agreement for the complete medication list was found for 45.4 % (95 % CI 35.8-55.3) of the patients. On drug-related problem level, agreement between questionnaire and interview was 75 %. Agreement tended to be lower in vulnerable patients characterized by ≥4 chronic diseases, ≥10 medications used and low health literacy.

conclusionInformation from a questionnaire showed reasonable agreement compared with interviewing. The patients reported more medications and drug-related problems in the interview than the questionnaire. Taking the limitations into account, a questionnaire seems a suitable tool for medication reviews that may replace an interview for most patients.

Indexed as

PolypharmacyAgedAged, 80 and overAge FactorsDrug-Related Side Effects and Adverse ReactionsElectronic Health RecordsFemaleHumansInterviews as TopicMaleMedication ErrorsNetherlandsPharmacistsSurveys and QuestionnairesActual medication useClinical medication reviewDrug-related problemsNetherlandsPatient questionnairePolypharmacy

Identifiers

PMID26830412
PMCPMC4828470

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.